Gallstones do not usually present with soreness in the lower back. If a patient has an acute attack of gallstones or has biliary colic, he or she will have pain in the right upper abdomen or pain under the glabella, that is, pain in the upper abdomen, or even pain in the right side of the back or radiating pain in the right scapula, etc. It is rare to have soreness in the lower back. If a patient has soreness in the lower back, it may be caused by urinary stones, such as kidney stones, which are common. When patients have stones in the kidney, they will have abdominal pain and even pain in the lower back. If the kidney is draining stones, the pain of renal colic attack is very obvious. It is also possible that the patient has a disease in the lower back, such as a possible lumbar disc herniation or lumbar strain, etc. There may also be pain in the lower back. If necessary, CT or MRI of the lumbar spine should be done.